<div class="bjui-pageContent">
  <form action="__URL__/edit/navTabId/{:CONTROLLER_NAME}" class="pageForm" data-toggle="validate">
    <input type="hidden" name="id" value="{$id}">
    <div class="pageFormContent" data-layout-h="0">
      <table class="table table-condensed table-hover" width="100%">
        <tbody>
          <tr>
            <td>
              <label for='jhid_input' class='control-label x85'>关联订单号:</label>
              <input type='text' id='jhid' name='jhid'  size='20' data-toggle='lookup' data-url='__MODULE__/public/htname/navTabId/{:CONTROLLER_NAME}'  value='{$Rs.jhid}'  disabled></td>
            <td>
              <label for='jhname_input' class='control-label x85'>关联客户:</label>
              <input type='text' id='jhname' name='jhname'  size='20' data-toggle='lookup' data-url='__MODULE__/public/htname/navTabId/{:CONTROLLER_NAME}'  value='{$Rs.jhname}' disabled ></td>
          </tr>
          <tr>
            <td>
              <label for='title_input' class='control-label x85'>开票抬头:</label>
              <input type='text' id='title' name='title'  size='20'   value='{$Rs.title}'  ></td>
            <td>
              <label for='jine_input' class='control-label x85'>开票金额:</label>
              <input type='text' id='jine' name='jine'  size='20'   value='{$Rs.jine}'></td>
          </tr>
          <tr>
           <td>
              <label for='dingdanjine_input' class='control-label x85'>订单金额:</label>
              <input type='text' id='bianhao' name='bianhao'  size='20' data-toggle='lookup'  data-url='__MODULE__/public/xdingdan/navTabId/{:CONTROLLER_NAME}' value='{$Rs.bianhao}'  disabled></td>
            <td>
              <label for='beizhu_input' class='control-label x85'>备注:</label>
              <input type='text' id='beizhu' name='beizhu'  size='20'   value='{$Rs.beizhu}'  ></td>
          </tr>
          <!-- <tr>
            <td>
              <label for='juid_input' class='control-label x85'>经办人:</label>
              <input type='text' id='juid' name='juid'  size='20' data-toggle='lookup' data-url='__MODULE__/public/user/navTabId/{:CONTROLLER_NAME}'  value='{$Rs.juid}'  ></td>
            <td>
              <label for='juname_input' class='control-label x85'>经办人:</label>
              <input type='text' id='juname' name='juname'  size='20' data-toggle='lookup' data-url='__MODULE__/public/user/navTabId/{:CONTROLLER_NAME}'  value='{$Rs.juname}'  ></td>
          </tr> -->
          </tbody>
        </table>
      </div>
      <div class="bjui-footBar">
        <ul>
          <li>
            <button type="button" class="btn-close" data-icon="close">取消</button>
          </li>
          <li>
            <button type="submit" class="btn-default" data-icon="save">保存</button>
          </li>
        </ul>
      </div>
    </form>
  </div>